Human-centered Perspectives on a Clinical Decision Support System for Intensive Outpatient Veteran PTSD Care

Psychotherapy delivery relies on a negotiation between patient self-reports and clinical intuition. Growing evidence for technological support of psychotherapy suggests opportunities to aid the mediation of this tension. To explore this prospect, we designed a prototype of a clinical decision support system (CDSS) for treating veterans with post-traumatic stress disorder in a Prolonged Exposure (PE) therapy intensive outpatient program. We conducted a two-phase interview study to collect perspectives from practicing PE clinicians and former PE patients who are United States veterans. Our analysis distills opportunities for a CDSS (e.g., offering homework review at a glance, aiding patient conceptualization) and larger challenges related to context and deployment (e.g., navigating Veterans Affairs). By reframing our findings through three human-centered perspectives (distributed cognition, situated learning, infrastructural inversion), we highlight the complexities of designing a CDSS for psychotherapists in this context and offer theory-aligned design considerations.

• Publication year

  2026

• Venue

  Unknown venue

• Publication date

  2026-03-03

• Fields of study

  Medicine, Computer Science, Psychology

• Identifiers
  DOI 10.1145/3772318.3791575arXiv 2603.03467
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar

• No claims are published for this paper.

• No concepts are published for this paper.

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